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Text File  |  1993-01-04  |  3KB  |  60 lines
  1.  
  2.       Registration Form for PCB-Deposit v1.99 for PCBoard 14.5a
  3.  
  4. Sysop Name:______________________________________________(Print Clearly Please)
  5. BBS Name:________________________________________________(Print Clearly Please)
  6. BBS Phone:_______________________________________________(Print Clearly Please)
  7. Home Phone:______________________________________________(Print Clearly Please)
  8. Password to Use On BBS:__________________________________(Print Clearly Please)
  9.  
  10. Registration is welcomed by: personal check, or money order, with no charge for
  11. shipping and handling.  You will just need to call the BBS and download your
  12. DEPOSIT.KEY file.
  13.  
  14.  
  15.                                                    Enclosed $20.00:____________
  16.  
  17. Registration is also welcomed by: VISA, MasterCard, Discover, Diners Club,
  18. Carte Blanche, or JCB cards. For all credit card orders shipping and handling
  19. will be automatically added to the initial registration cost.
  20.  
  21. Enclosed is $22.00 for the Registered Version of PCB-Deposit Door v1.99
  22.  
  23. [] VISA, [] MasterCard, [] Discover, [] Diners Club, [] Carte Blanche, [] JCB
  24.  
  25. Card Number:____________________________________ Expiration Date:_____________ 
  26.            
  27.  
  28. Card Holder's Signature REQUIRED:_____________________________________________ 
  29.                                           
  30.  
  31.  
  32. Shipping Address:_____________________________________________                 
  33.                  _____________________________________________
  34.                  _____________________________________________                 
  35.                  _____________________________________________
  36.                  _____________________________________________                 
  37.                 
  38.                                                    Enclosed $22.00:___________ 
  39.       
  40. Make Checks Payable to:
  41.  
  42. Cam DeBuck Software
  43. 69 North 200 East #2
  44. Springville, UT  84663-1416
  45.  
  46. If you have any comments, please let me know:
  47. ______________________________________________________________________________
  48. ______________________________________________________________________________
  49. ______________________________________________________________________________
  50. ______________________________________________________________________________ 
  51.                                                                  
  52.                                                                              
  53. *DO NOT SEND CASH -- Please use a Check or a Money Order *
  54. * If you are Registering outside the U.S. or Canada, please be sure to send
  55. * your Registration Money in U.S. Currency Funds (Money Order in U.S. Funds)
  56.  
  57. For Technical help call (801)489-4878
  58. For ORDERS ONLY call 1-800-392-8892
  59. For BBS call (801)489-3558 [HST 1440]
  60.